title: Increases in thyroid nodule fine-needle aspirations, operations, and diagnoses of thyroid cancer in the United States.
abstract: BACKGROUND
  To provide population-based estimates of trends in thyroid nodule fine-needle aspirations (FNA) and operative volumes, we used multiple claims databases to quantify rates of these procedures and their association with the increasing incidence of thyroid cancer in the United States.
  
  
  METHODS
  Private and public insurance claims databases were used to estimate procedure volumes from 2006 to 2011. Rates of FNA and thyroid operations related to thyroid nodules were defined by CPT4 codes associated with International Classification of Diseases, Ninth Revision Clinical Modification codes for nontoxic uni- or multinodular goiter and thyroid neoplasms.
  
  
  RESULTS
  Use of thyroid FNA more than doubled during the 5-year study period (16% annual growth). The number of thyroid operations performed for thyroid nodules increased by 31%. Total thyroidectomies increased by 12% per year, whereas lobectomies increased only 1% per year. In 2011, total thyroidectomies accounted for more than half (56%) of the operations for thyroid neoplasms in the United States. Thyroid operations became increasingly (62%) outpatient procedures.
  
  
  CONCLUSIONS
  Thyroid FNA and operative procedures have increased rapidly in the United States, with an associated increase in the incidence of thyroid cancer. The more substantial increase in number of total versus partial thyroid resections suggests that patients undergoing thyroid operation are perceived to have a greater risk of cancer as determined by preoperative assessments, but this trend could also increase detection of incidental microcarcinomas.
authors.affiliation: Section of Endocrine Surgery, Department of Surgery, Duke University, Durham, NC. Electronic address: julie.sosa@duke.edu.
authors.forename: Julie Ann
authors.initials: JA
authors.lastname: Sosa
authors.forename: John W
authors.initials: JW
authors.lastname: Hanna
authors.forename: Karen A
authors.initials: KA
authors.lastname: Robinson
authors.forename: Richard B
authors.initials: RB
authors.lastname: Lanman
mesh_terms: D044963:Biopsy, Fine-Needle / Q000706:statistics & numerical data / Q000639:trends*; D016208:Databases, Factual; D006801:Humans; D015994:Incidence; D013964:Thyroid Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery*; D016606:Thyroid Nodule / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D013965:Thyroidectomy / Q000706:statistics & numerical data / Q000639:trends; D014481:United States / Q000453:epidemiology